George Eliot Hospital Formulary

	George Eliot Hospital
	NHS Trust

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Formulary Chapter 13: Skin - Full Chapter

Notes:

Dermatology clinics at George Eliot Hospital are run by UHCW.

Therefore all dermatology outpatient prescriptions need to be in line with the UHCW formulary which consultants should be familiar with.

We will only issue prescriptions from our outpatient department if the prescription is for a specialist drug (SO,SI or SC) and those prescriptions that are deemed urgent for the patient to start immediately (ie the patients condition will deteriorate if they wait for a supply from the GP).

For any prescribers wishing to start an inpatient or an outpatient on an emollient please refer to the formulary below which has been taken from both the APC and UHCW Preferred Prescribing List (PPL).

Details...

13.02.01.01

Emollient bath and shower preparations

In dry skin conditions soap should be avoided. Emollient bath additives should be added to bath water; hydration can be improved by soaking in the bath for 10-20 minutes. Some bath emollients can be applied to wet skin undiluted and rinsed off.
Aqueous cream used as a soap substitute may also suffice as a bath additive. It is best whisked in a jug of hot water before adding it to the bath water.
The preparations make skin and surfaces slippery - particular care is needed when bathing. The use of anti-slip bath mats/handles especially for the young and elderly should be encouraged.

GPs can be asked to prescribe bath additives/wash - DO NOT prescribe from outpatients unless really urgent. Patients may be asked to purchase these products in the community.

Aquamax Wash^®
(white soft paraffin 20%, liquid paraffin 8%)

Formulary

£/250g
Aquamax cream can also be used as a soap substitute
Dermatology only

Hydromol^® bath and shower
(light liquid paraffin 37.8%, isopropyl myristate 13%)

Formulary

£/500mL

QV Gentle Wash^®
(Glycerol 15%)

Formulary

£/500mL
Dermatology only

UKMI Q&A: Can topical steroids be applied at the same time as emollients?

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Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to children's BNF
	Link to SPCs
	Scottish Medicines Consortium

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG

Traffic Light Status Information

Status	Description
	SPECIALIST ONLY - These drugs are deemed to be not appropriate for prescribing by GPs. Specialists should not ask GPs to prescribe these drugs.
	SPECIALIST INITIATED - These drugs must be initiated, i.e. the first dose prescribed, by the specialist and then may be continued when appropriate by the patients GP following communication from the specialist.
	SPECIALIST ADVISED – Specialists may simply advise a patients GP to initiate these drugs themselves after they have made an initial assessment.
	SHARED CARE - Responsibility for prescribing may be transferred from secondary to primary care with the agreement of an individual GP and when agreed shared care arrangements have been established. The specialist MUST stabilize the patient before asking for care to be transferred. Only specialists should initiate these drugs. Prescribing should be transferred to GPs according to an Shared Care Agreement [SCA]